Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 59330 | MN |
N | 207X00000X | Orthopaedic Surgeon | MD60978049 | WA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | MD60978049 | WA |
NPI | 1023426459 |
---|---|
Provider Name | Dr. Chelsea Boe |
First Address | Silverdale, WA 98383-8502 |
Second Address | Silverdale, WA 98383-7681 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2014 |
Last Update Date | 13/10/2020 |